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NPI Code Detail

MEDICARE: SANTA ROSA MEDICAL CENTERS OF NEVADA, INC

MEDICARE: SANTA ROSA MEDICAL CENTERS OF NEVADA, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336H0001XHome Infusion Therapy Pharmacy
23336C0002XClinic Pharmacy

General Provider Information

NPI Number : 1073224333
Entity Type Code : Organization
Provider Name (Legal Business Name) : SANTA ROSA MEDICAL CENTERS OF NEVADA, INC
Provider Business Mailing Address
First Line : 4161 S EASTERN AVE STE B3
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-5483
Country : US
Telephone Number : 702-693-6222
Fax Number : 702-369-6504
Provider Business Practice Location Address
First Line : 3530 VOLUNTEER BLVD STE 100
Second Line :
City : HENDERSON
State : NV
Zip : 89044-1857
Country : US
Telephone Number : 702-268-8185
Fax Number : 702-297-6163
Authorized Official
Title or Position : MANAGING DIRECTOR
Name : SYED IRSHAD PERVAIZ
Credential :
Telephone Number : 702-268-8185
Provider Enumeration Date : 12/07/2022
Last Update Date : 12/07/2022

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Directions to “SANTA ROSA MEDICAL CENTERS OF NEVADA, INC ” Practice Location

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